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Article
May 17, 1924

AN UNUSUAL CASE OF FRACTURE-DISLOCATION OF THE FEMUR

Author Affiliations

Chickasaw, Pa.

JAMA. 1924;82(20):1608. doi:10.1001/jama.1924.26520460002014b

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Abstract

D. H., a boy, aged 9, was running over heavily crusted snow, when he broke through and fell forward. Another boy, who was running close after him, fell over him. The patient was unable to arise, and was carried home. When seen four hours later, the right leg was in eversion and partial flexion. The head of the femur was felt over the obturator foramen, and, on the slight motion possible, crepitus was felt. The fracture was at the junction of the middle and upper thirds of the femur. The next day, under chloroform anesthesia, reduction of the dislocation was accomplished, and the leg was put in extension with adhesive strips; a weight of about 10 pounds was then placed over the end of the bed. The right leg measured 25½ inches (64.7 cm.), and the left, 27 inches (68.5 cm.), measuring from the anterior superior spine of the ilium

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